| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9012 |
Other specified case management service not elsewhere classified |
5,021 |
4,971 |
$1.36M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,245 |
3,165 |
$162K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,023 |
1,882 |
$79K |
| 80305 |
|
1,152 |
1,023 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
556 |
526 |
$7K |
| 99340 |
|
16 |
16 |
$4K |
| 99499 |
|
150 |
129 |
$3K |
| 90677 |
|
12 |
12 |
$2K |
| 90686 |
|
113 |
112 |
$909.83 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$889.35 |
| 90630 |
|
40 |
40 |
$833.19 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
28 |
$750.00 |
| 99401 |
|
64 |
64 |
$723.64 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$695.52 |
| 90674 |
|
30 |
30 |
$353.00 |
| 99406 |
|
17 |
17 |
$150.30 |
| 86592 |
|
14 |
14 |
$58.80 |
| 36415 |
Collection of venous blood by venipuncture |
38 |
37 |
$27.72 |